pharmacology
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Pharmacology: An Introduction

What is Pharmacology?

Pharmacology is the branch of science concerned with the study of drugs, their actions on living systems, mechanisms of action, uses in treatment, and adverse effects. Pharmacology serves as the critical link between basic sciences (chemistry, physiology, biochemistry) and clinical medicine, guiding rational therapeutics.

Core Divisions of Pharmacology

DivisionDescription
PharmacodynamicsStudy of what drugs do to the body—mechanisms, sites, and effects
PharmacokineticsStudy of what the body does to drugs—absorption, distribution, metabolism, excretion (ADME)
PharmacotherapeuticsClinical use of drugs for prevention, diagnosis, and treatment
ToxicologyStudy of poisonous effects of drugs and other chemicals
Pharmacogenomics/geneticsInfluence of genetic makeup on drug response and metabolism
Pharmacy/PharmaceuticsDrug formulation, compounding, stability, and delivery

Key Terms and Concepts

  • Drug: Any chemical agent that affects biological systems; includes medications, toxins, and endogenous compounds when given exogenously.
  • Receptor: Specific cellular protein or structure to which a drug binds to initiate its action.
  • Agonist vs Antagonist: Agonists activate receptors to produce effects. Antagonists bind and block them, preventing activity.
  • Dose-response relationship: The relationship between the dose of a drug and the magnitude of effect.
  • Therapeutic index: Ratio between toxic and therapeutic doses; measure of safety.

Pharmacodynamics: Mechanisms and Effects

  • Receptor Binding: Most drugs act via receptors (membrane-bound, intracellular, enzyme, ion channel, nuclear). Effects may be stimulatory, inhibitory, or modulatory.
  • Efficacy and Potency: Efficacy is the maximum effect a drug can produce. Potency is the amount (dose/concentration) required for effect.
  • Types of Effects:
    • Therapeutic effect: Desired clinical outcome.
    • Side effect: Unwanted, often predictable but non-dangerous effect.
    • Adverse effect: Harmful, potentially dangerous effect.
    • Toxic effect: Resulting from excessive dosing or accumulation.
    • Idiosyncratic/allergic effect: Unpredictable, due to individual susceptibility.

Pharmacokinetics: Journey of Drugs through the Body

ProcessDescriptionMajor Factors
AbsorptionPassage from site of administration to bloodstreamRoute, solubility, pH, formulation
DistributionDispersion throughout bodily fluids and tissuesPerfusion, tissue binding, protein binding
MetabolismBiotransformation, mostly in liver (Phase I/II)Enzyme activity (CYP450), genetics
ExcretionRemoval via kidney (urine), GI (feces), or other routesRenal function, biliary excretion
  • Bioavailability: Fraction of administered dose that reaches systemic circulation (100% for IV, usually less for oral).
  • Half-life (t½): Time required for plasma concentration to halve; affects dosing intervals.

Drug Administration Routes

RouteExamplesProsCons
OralTablets, capsulesConvenient, safeFirst-pass metabolism, slower onset
ParenteralIV, IM, SCRapid, 100% bioavailable (IV)Infection risk, technique required
TopicalCreams, ointmentsLocalized effectSystemic absorption can occur
InhalationalGaseous anestheticsRapid, large surface areaLimited to certain drugs
OthersBuccal, rectal, transdermal, intrathecal, intraarticularUsed for specific clinical needsVariable absorption

Drug Interactions and Individualization

  • Drug-drug interactions: Synergism, antagonism, enzyme induction/inhibition, altered absorption or elimination.
  • Patient differences: Age, weight, organ function, genetics, pregnancy, disease state—all alter drug selection, dosing, response, and monitoring.

Development, Regulation, and Safety

  • Drug development: Preclinical studies → clinical trials (Phase I–IV).
  • Regulation: Ensures quality, efficacy, and safety (FDA, EMA, CDSCO, etc.).
  • Prescription vs OTC drugs: Control depends on safety profile, abuse potential.

Foundational Principles in Modern Pharmacology

  • Evidence-based selection and dosing.
  • Focus on minimizing harm (side effects/toxicity) while maximizing benefit.
  • Stewardship and rational drug use to prevent resistance (esp. antibiotics, opioids).
  • Application of molecular/cellular biology, genetics, and informatics to personalize therapy.

Quick Review Table: Major Aspects and Examples

AspectExample
Drug classBeta-blockers (antihypertensives)
Prototype drugPropranolol
Mechanismβ-adrenergic blockade
UsesHypertension, angina, arrhythmia
PK/PD featuresOral/IV, hepatic metabolism, varies by agent
Key side effectsBradycardia, hypotension, bronchospasm
Major interactionAdditive hypotension with other antihypertensives

References

  1. Brunton LL, Hilal-Dandan R, Knollmann BC, editors. Goodman & Gilman’s The Pharmacological Basis of Therapeutics. 14th ed. New York: McGraw-Hill; 2022.
  2. Katzung BG, Vanderah TW. Basic & Clinical Pharmacology. 16th ed. New York: McGraw-Hill; 2021.
  3. Trevor AJ, Katzung BG, Kruidering-Hall M, et al. Katzung & Trevor’s Pharmacology: Examination & Board Review. 13th ed; 2021.
  4. Rang HP, Dale MM, Ritter JM, et al. Rang & Dale’s Pharmacology. 9th ed. Elsevier; 2019.
How to cite this page - Vancouver Style
Mentor, Pharmacology. Pharmacology: An Introduction. Pharmacology Mentor. Available from: https://pharmacologymentor.com/pharmacology-an-introduction/. Accessed on January 28, 2026 at 23:21.

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